EYE CENTER BOUTIQUE (NPI# 1689973778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689973778 |
| Entity Type | Organization |
| Organization Name | EYE CENTER BOUTIQUE |
| Practice Address |
Ave. Fragoso, Plaza Carolina Mall, Local 108 Carolina PR 00985 |
| Practice Telephone | 7877686666 |
| Mailing Telephone | 7877686666 |
| Enumeration Date | 2011-03-15 |
| Last Update Date | 2011-03-15 |
| Authorized Official Name | DR. PEDRO DAVID SALIB (DR/PRESIDENT) |
| Authorized Official Telephone | 7877686666 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 135 | PR | Eye and Vision Services Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | EYE CENTER BOUTIQUE DORADO | Carr 693 Doramar Shopping Center B275 Local #5, Dorado, PR 00646 |
| Street Address |
AVE. FRAGOSO, PLAZA CAROLINA MALL, LOCAL 108 |
| City | CAROLINA |
| State | PR |
| Zip Code | 00985 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194363705 | Margarita Ortiz | Pharmacist | Avenida Monserrate Esquina Main Calderon, Villa Carolina, Carolina, PR 00985 | 2019-12-13 |
| 1871154906 | Northeastern Medical Network L.L.C. | Family Medicine | 124-8 Ave Roberto Clemente, Carolina, PR 00985 | 2019-06-28 |
| 1871150904 | Ljr Medical LLC | Family Medicine | 3fs5 Ave Fragoso, Urb Villa Fontana, Carolina, PR 00985 | 2019-05-23 |
| 1720644289 | Health Laboratories Services, Inc. | Clinical Medical Laboratory | Carolina Shopping Court Local 302, Bo Martin Gonzalez, Carolina, PR 00985 | 2019-05-10 |
| 1346707171 | Edsel I Rivera | Nurse Practitioner | Century Business Park, 23 Carr 848, Carolina, PR 00985 | 2019-02-28 |
| 1699230847 | Carmen Milagros Vazquez Sr. | Social Worker | 23 Carolina Century Business Center Carr 848, Carolina, PR 00985 | 2019-02-01 |
| 1972067247 | Minorka Gizzette Figueroa-davila | Student in an Organized Health Care Education/Training Program | Calle 4 B-27 Estancias De San, Fernando, Carolina, PR 00985 | 2019-01-30 |
| 1962966119 | Vacunacion Al Dia Ninos Y Adultos | Clinic/Center | 22-2 Calle 18, Urb Villa Carolina, Carolina, PR 00985 | 2019-01-22 |
| 1992289631 | Marilyn Figueroa Chinea | Pharmacist | Carr Pr 3 Km 9.5 Ave 65 Infanteria, Carolina, PR 00985 | 2018-09-19 |
| 1336623214 | Vanessa Jimenez | Pharmacist | 65 Infanteria Ave Carr 3 Km 9.5, Reparto Industrial San Gabriel, Carolina, PR 00985 | 2018-09-18 |
| Find all providers in zip 00985 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881224673 | Deo Pr Retail 1 LLC | Optometrist | Plaza Carolina, Carolina, PR 00983-0098 | 2020-01-21 |
| 1669946851 | Insight Optical | Optometrist | Jesus Fragosa Ave Exp O Loiza, Carolina, PR 00961-4462 | 2019-01-22 |
| 1841666971 | Ojos De Puerto Rico, Inc Csp | Optometrist | 620 Calle Monaco, Ext. El Comamdante, Carolina, PR 00982-3634 | 2015-08-12 |
| 1770908352 | Linnette Marie De Jesus | Optometrist | 506 Blvd Media Luna Apt 602, Carolina, PR 00987-4988 | 2014-02-19 |
| 1982995783 | Santa Lucia Optica Inc | Optometrist | Av Campo Rivo Urb Country Club, Gp13, Carolina, PR 00985 | 2011-04-27 |
| 1972800530 | E. C. Boutique Corp. | Optometrist | Local 108 Ave. Fragoso, Plaza Carolina Mall Primer Nivel, Carolina, PR 00988-9000 | 2011-02-17 |
| 1487957585 | Eye Care Holding of Pr, Inc. | Optometrist | Carolina Shopp Ctr # 275, Ave. Fragoso, Carolina, PR 00985-5672 | 2010-12-10 |
| 1902066608 | David Santiago | Optometrist | Carr #3 Km 6 8 Bo San Anton, Walmart Vision Center Parque Escorial, Carolina, PR 00987 | 2008-06-16 |
| 1861612038 | Irma E Lopez - Soto | Optometrist | Ave. Fragoso #14 Villa Fontana, Carolina, PR 00983 | 2007-04-27 |
| 1447377965 | Francisco J Martinez Rios | Optometrist | 7 Ave Laguna, Apt. Phg Condominio Lagomar, Carolina, PR 00979-6501 | 2007-03-22 |
| Find all providers in CAROLINA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.